The Department of Health and Human Services’ Office of Inspector General today issued a final rule expanding its ability to exclude individuals or entities from federal health care programs, as authorized by the Affordable Care Act and other laws. The rule allows OIG to exclude individuals or entities for conviction of an offense in connection with obstructing an audit; failure to supply payment information; or false statements, omissions or misrepresentations of material fact in provider or supplier applications, among other provisions. Unlike the proposed rule, which included no time limit, the final rule limits the time period for initiating an exclusion action for fraud and other prohibited activities to 10 years.
AHA, health organizations letter to CMS regarding its decision to suspend billions of dollars in annual payments to insurers as required under the Affordable…
June 14, 2018 - Brief of the American Hospital Association, Federation of American Hospitals, The Catholic Health Association of the U
On April 9, CMS issued a final rule and related guidance that will implement the standards governing health insurance issuers and the Health Insurance…
AHA Special Bulletin: White House Releases FY 2019 Budget Request with Medicare, Medicaid Reductions
President Trump today submitted to Congress his budget request for fiscal year (FY) 2019.
Estimate of Federal Payment Reductions to Hospitals Following the ACA 2010-2026: Estimates and Methodology